A nurse is assessing a child's pain.
Select all the methods that can be used to assess pain in children who are pre-verbal or developmentally disabled.

Using a face pain scale to indicate pain intensity.

Watching how the child behaves in response to pain.

Using a doll to demonstrate the location of pain.

Asking questions about the child's pain.

Conducting a comprehensive pain assessment.

Answer and Explanation

Correct Answer : A,B

Choice A rationale:

Using a face pain scale to indicate pain intensity is a suitable method for assessing pain in children who are pre-verbal or developmentally disabled.

This approach involves showing the child a series of faces with different expressions ranging from happy to very sad, and the child can point to the face that best represents their current level of pain.

This visual scale provides a simple and effective way to gauge pain intensity when verbal communication is limited or not possible.

Choice B rationale:

Watching how the child behaves in response to pain is another valuable method for assessing pain in children who cannot communicate verbally or have developmental disabilities.

Observing their behavior, such as crying, grimacing, or changes in posture, can provide important clues about their pain level.

Non-verbal cues are especially relevant in assessing the pain experience of pre-verbal or developmentally disabled children.

Choice C rationale:

Using a doll to demonstrate the location of pain may not be an effective method for assessing pain in children with limited communication skills or developmental disabilities.

This method assumes that the child can understand and accurately point to the doll to indicate the location of their pain, which may not always be the case.

Choice D rationale:

Asking questions about the child's pain is generally not suitable for pre-verbal or developmentally disabled children, as they may not be able to provide coherent responses to questions about their pain.

Choice E rationale:

Conducting a comprehensive pain assessment is essential, but it often includes methods like choices A and B for pre-verbal or developmentally disabled children.

While a comprehensive assessment is crucial, the methods for these specific populations should prioritize non-verbal cues and visual pain scales.

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Correct Answer is A

Explanation

Choice A rationale:

This statement correctly indicates an understanding of pain caused by the activation of pain receptors due to tissue damage.

When a child falls and scrapes their knee, the physical injury leads to the activation of pain receptors in the damaged tissue, causing pain.

This is a clear example of nociceptive pain, which results from tissue damage and inflammation.

Choice B rationale:

This statement is not correct.

Headaches can have various causes, including tension, migraines, or other medical conditions.

It may not necessarily be related to tissue damage or the activation of pain receptors due to injury.

Choice C rationale:

This statement is not entirely accurate.

While children can complain about stomachaches, they may not always be related to tissue damage or pain receptor activation.

Stomachaches can be caused by various factors, including gastrointestinal issues or emotional distress.

Choice D rationale:

This statement is not accurate in the context of nociceptive pain.

Pain after chemotherapy is more likely to be related to chemotherapy-induced tissue damage or inflammation rather than pain receptor activation.

It may involve other mechanisms as well, such as neuropathic pain.

A. "I have a sharp, throbbing pain at the site of my injury.”.. B. "I feel a burning or shooting pain with numbness and tingling.”.. C. "My pain is deep and crampy, and I'm feeling nauseous.”.. D. "I have a dull, aching pain that worsens with movement.”..

Correct Answer is D

Explanation

I have a dull, aching pain that worsens with movement.”..

Choice A rationale:

I have a sharp, throbbing pain at the site of my injury.”..

This choice does not align with the reported symptoms of fatigue, decreased appetite, changes in sleep patterns, irritability, and withdrawal from activities.

These symptoms are commonly associated with chronic pain, particularly the dull, aching type.

Choice B rationale:

I feel a burning or shooting pain with numbness and tingling.”..

This choice is more characteristic of neuropathic pain, which may involve burning or shooting sensations and numbness and tingling.

However, the reported symptoms are not typical of neuropathic pain but are more consistent with chronic pain.

Choice C rationale:

My pain is deep and crampy, and I'm feeling nauseous.”..

This description is closer to visceral pain, which can be deep and crampy and may cause nausea.

However, the reported symptoms of fatigue, decreased appetite, changes in sleep patterns, irritability, and withdrawal from activities are not strongly associated with visceral pain.

Choice D rationale:

I have a dull, aching pain that worsens with movement.”..

This is the correct answer.

The reported symptoms of fatigue, decreased appetite, changes in sleep patterns, irritability, and withdrawal from activities are commonly associated with chronic pain, particularly the dull, aching type.

Chronic pain can lead to a decrease in physical and emotional well-being, resulting in these manifestations.

The worsening of pain with movement is also indicative of chronic pain, as it often restricts a person's ability to engage in physical activities.

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A nurse is assessing a child's pain.Select all the methods that can be used to assess pain in children who are pre-verbal or developmentally disabled.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client reports fatigue, decreased appetite, changes in sleep patterns, irritability, and withdrawal from activities.What type of pain manifestation is commonly associated with these symptoms?

Correct Answer is D

Explanation

A client experiences pain that is inconsistent with physical findings, exaggerated responses, and psychological distress.What type of pain is the client likely experiencing?

A client asks a nurse to explain the difference between acute and chronic pain in children.Which of the following responses by the nurse would be appropriate?

A nurse is educating a client about pain management.Which of the following statements by the nurse is most appropriate?

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A client expresses concern about the use of opioids for managing a child's pain.What information should the nurse provide to address this concern and explain the use of opioids in pediatric pain management?

A client is a 5-year-old boy who is recovering from a broken leg.He is experiencing pain in his leg.The nurse is assessing the client's pain.Which of the following statements by the nurse is most appropriate?

A client’s child has been complaining of a deep, crampy, or colicky pain and has been experiencing nausea.The nurse recognizes these symptoms as indicative of a certain type of pain.Which of the following statements would be most appropriate for the client to say?

A nurse is explaining to a family that their child’s pain management will include both non-pharmacological and pharmacological treatment options. Which of the following factors should the nurse consider when planning this approach?

A nurse is assessing a child's pain.
Select all the methods that can be used to assess pain in children who are pre-verbal or developmentally disabled.